黄树通 陈聪 梁金明

【摘要】 目的：探討健康管理对中青年超重患者血糖、血脂、尿酸的影响。方法：选取2016年12月-2017年8月于本院健康查体中筛查的68例超重患者作为研究对象，按照随机数字表法将其分为对照组和干预组，各34例。对照组采用一般管理，仅包括8学时的膳食指导与饮食行为矫正课程；干预组在对照组的基础上进行为期半年的综合管理干预，包括饮食、运动与行为矫正等，安排固定时间与患者进行学习交流。观察两组患者管理前后体质指数（BMI）、总胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）、空腹血糖（FBG）及尿酸（UA）水平，以及行为方式变化情况。结果：管理前，两组患者的BMI、FBG、血脂（TC、TG、HDL-C、LDL-C）、尿酸水平比较，差异均无统计学意义（P>0.05）。管理后，两组患者的BMI、FBG、血脂、尿酸水平较管理前均有所好转；干预组BMI、FBG、尿酸水平均明显低于对照组，TC、TG、HDL-C、LDL-C水平均明显优于对照组，差异均有统计学意义（P<0.05）。管理前，两组行为方式指标比较，差异均无统计学意义（P>0.05）。管理后，两组行为方式较管理前均有所好转；干预组在膳食结构科学、生活方式合理、坚持体育锻炼、心理应激能力提高、掌握监测体重技术方面占比均明显高于对照组，差异均有统计学意义（P<0.05）。结论：健康管理的实施有助于改善中青年超重患者血糖、血脂、尿酸水平，降低相关并发症发生率，提高人口质量。

【关键词】 健康管理； 中青年； 超重； 血糖； 血脂； 尿酸

【Abstract】 Objective：To discuss the effect of health management on the blood glucose，blood lipid and uric acid in young and middle-aged overweight patients.Method：A total of 68 overweight who were screened in our hospitals health check-ups from December 2016 to August 2017 were selected as the study subjects.According to the random number table method，they were divided into control group and intervention group，34 cases in each group.The control group was adopted the general management including eight courses on the dieting guidance and dietary behavior modification.On the basis of the former，the intervention group was adopted the comprehensive health management for half a year，including diet，exercise and behavior modifications and a fixed time for learning and communicating with the patients was arranged.Body mass index （BMI）， total cholesterol （TC），triglyceride （TG），low density lipoprotein cholesterol （LDL-C），high density lipoprotein cholesterol （HDL-C）， fasting blood glucose （FBG） and uric acid （UA） levels and behavior patterns were observed before and after administration.Result：There were no significant differences in the BMI，blood glucose，blood lipid （TC，TG，HDL-C，LDL-C）and UA levels between the two groups before management （P>0.05）.After management，the BMI，blood glucose，blood lipid and UA in two groups were better than those before management；the BMI，FBG and UA levels in the intervention group were significantly lower than those in the control group；the TC，TG，HDL-C and LDL-C in the intervention group were significantly better than those in the control group，the differences were statistically significant（P<0.05）.There were no significant differences behavior style indexes of patients between two groups before management （P>0.05）.After management，the behavior style indexes of the two groups were better than those before management；the proportion of having the scientific dietary patterns and life mode， taking the physical exercise， increasing the psychological stress capacity and mastering the body weight measurement technology in the intervention group were significantly higher than those in the control group，the differences were statistically significant（P<0.05）.Conclusion：The implementation of health management can improve the levels of blood glucose，blood lipid and uric acid of the young and middle-aged overweight patients，reduce the incidence rate of related complications and improve the quality of population.

【Key words】 Health management； Young and middle-aged； Overweight； Blood glucose； Blood lipid； Uric acid

First-authors address：Central Peoples Hospital of Zhanjiang，Zhanjiang 524000，China

doi：10.3969/j.issn.1674-4985.2018.20.035

随着人类物质生活水平提高，超重已成为全球问题，根据世界卫生组织数据统计[1]，2014年全球超重人数已超过19亿，6亿人肥胖，数据较1980年翻了一倍以上，近几十年来，我国中青年超重率呈快速增长的趋势，由于超重与许多慢性疾病密切相关，存在不同程度的血糖、血脂异常，使得相应的高血压、糖尿病等患病率日益增加[2]，形势已刻不容缓。以……